Order Form

Hamwic House

Printer Friendly Mail In Order Form

Please complete this form, right in your browser, and then press your browser command "print".

Due to the one of a kind nature of our items, customers ordering by mail are advised to phone our shop to reserve their items.

519-846-0695

Your full name:
Shipping Address Line One:
Shipping Address Line Two:
City:
Postal or Zip Code:
Country:
I am paying by:	Visa Card	Cheque	Money Order
If paying by Visa credit card, please complete the following, otherwise, leave blank:
Visa Card Number:
Expiry Date: MM/YY
Name on Card:
Is your home/billing address the same as your shipping address?	Check One: yes no If no, please fill out your home/billing address below, otherwise, leave blank.
Billing address: (If your credit card billing address is different than shipping address)
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The Items You Would Like to Order

Item Number	Description	Price






Shipping and Handling $10.00
Ontario residents add 8% P.S.T.
Canadian residents add 7% G.S.T.
Total
Mail Your Form To:
HAMWIC HOUSE 61 Metcalfe St. Elora, Ontario CANADA N0B 1S0